Individual
DR. MARISELL BURGOS MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1290 CALLE 54 SE, SAN JUAN, PR 00921-3141
(787) 664-3816
(620) 506-4381
Mailing address
PO BOX 190705, SAN JUAN, PR 00919-0705
(787) 390-7474
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2047
PR
Other
Enumeration date
08/27/2009
Last updated
01/26/2020
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